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THE FLORIDA PAIN MANAGEMENT CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: THE FLORIDA PAIN MANAGEMENT CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

THE FLORIDA PAIN MANAGEMENT CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 04 Jun 1987 (38 years ago)
Date of dissolution: 27 Sep 2024 (10 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (10 months ago)
Document Number: J75833
FEI/EIN Number 593006597

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 111 WATERMAN AVENUE, MT. DORA, FL, 32757
Mail Address: 111 WATERMAN AVENUE, MT. DORA, FL, 32757
ZIP code: 32757
City: Mount Dora
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BURTON BUSH RICHARD Agent 3375 Capital Cir NE, TALLAHASSEE, FL, 323083778
BERCKES, STACY J. Secretary 38440 TIMBERLANE DRIVE, UMATILLA, FL
BERCKES, STACY J. President 38440 TIMBERLANE DRIVE, UMATILLA, FL

National Provider Identifier

NPI Number:
1811967250

Authorized Person:

Name:
STACY J. BERCKES
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
3527353711

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
REGISTERED AGENT ADDRESS CHANGED 2022-01-21 3375 Capital Cir NE, SUITE 300, Bldg C200, TALLAHASSEE, FL 32308-3778 -
REGISTERED AGENT NAME CHANGED 2003-01-22 BURTON BUSH, RICHARD -
CHANGE OF PRINCIPAL ADDRESS 1994-12-05 111 WATERMAN AVENUE, MT. DORA, FL 32757 -
CHANGE OF MAILING ADDRESS 1994-12-05 111 WATERMAN AVENUE, MT. DORA, FL 32757 -
CORPORATE MERGER 1993-06-15 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 900000001449

Documents

Name Date
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-16
ANNUAL REPORT 2014-02-01

USAspending Awards / Financial Assistance

Date:
2021-03-10
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
53127.00
Total Face Value Of Loan:
53127.00
Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
53125.00
Total Face Value Of Loan:
53125.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$53,125
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,125
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$53,455.56
Servicing Lender:
The First National Bank of Mount Dora
Use of Proceeds:
Payroll: $43,875
Utilities: $1,250
Rent: $8,000
Jobs Reported:
5
Initial Approval Amount:
$53,127
Date Approved:
2021-03-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,127
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$53,416.25
Servicing Lender:
The First National Bank of Mount Dora
Use of Proceeds:
Payroll: $53,125
Utilities: $1

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Date of last update: 02 Jul 2025

Sources: Florida Department of State